(《局方》。即《外科精要》十宣散)
治痈疮初发或已发,邪高痛下,疮盛形羸,脉无力者(若痈疽不因膏粱、丹毒、火热、
胃
黄 人参 当归(二钱) 川芎 桂心 白芷 防风 浓朴 桔梗 甘草(一钱。)
每服
发背疔疮。
此手足太阴、足厥阴、阳明药也。参 补气,芎归活血,甘草解毒,桂心、白芷、桔梗
排脓,浓朴泻实满,防风散风邪,为表里气血之药,共成助阳内托之功也朱(丹溪曰∶若冬
月肿疡用之,可转重就轻;若溃疡夏月用之,以桂朴之温散,佐以防风、白芷,吾恐虽有参
,难为倚仗,世人不分冬夏,无论经络,不能无误也。《机要》曰∶治疮须用托里、疏通
脏腑、调和营卫三法。内之外者,其脉沉实,发热烦躁,外无 赤,痛深于内,其邪深矣,
当疏通脏腑,以绝其源;外之内者,其脉浮数, 肿在外,形证外显,恐邪气极而内行,当
先托里;内外之中者,外无 恶之气,内亦脏腑宣通,知其在经,当和营卫;用此三者,虽
未即瘥,必无变证)。
(《总录》)
治诸疮溃后,脓多内虚(溃后脓血出多,阴阳两竭,宜大补气血)。
黄 人参 当归 桂心 茯苓 远志 麦冬 五味子(炒),等分。每服五钱,食远
服。
此手足太阴、足阳明药也。人参、黄 补气固卫,当归、桂心活血生肌,茯苓渗湿健脾
,麦
丹溪
也。
(出自《太平惠民和剂局方》,即《外科精要》中的十宣散)
治疗痈疮刚开始发作或已经发作,邪气位置高而疼痛位置低,疮疡肿势盛大但身体消瘦虚弱,脉象无力的情况(如果痈疽不是因为过食肥甘厚味、丹毒、火热之邪、胃黄等原因引起的)。
药物组成:黄芪、人参、当归(二钱)、川芎、桂心、白芷、防风、浓朴、桔梗、甘草(一钱)。
每次服用上述剂量,治疗发背疔疮。
此方是手足太阴经、足厥阴经、阳明经的药物组合。人参补气,川芎和当归活血,甘草解毒,桂心、白芷、桔梗排脓,浓朴泻除实满,防风疏散风邪,属于调理表里气血的药物,共同起到助阳内托的功效。朱震亨(丹溪)说:如果在冬季用于肿疡(未溃破的疮),可以使病情由重转轻;如果在夏季用于溃疡(已溃破的疮),因为桂心和浓朴性温散,配合防风、白芷,我担心虽然有参药,也难以依靠其效力,世人不分冬夏,不论经络差异,难免会有错误。《机要》说:治疗疮疡必须使用托里、疏通脏腑、调和营卫三法。病邪由外入内的,脉象沉实,发热烦躁,体表没有明显的赤色,疼痛深在内部,说明邪气深入,应当疏通脏腑,以断绝病源;病邪由内出外的,脉象浮数,肿胀在体表,形体症状外在显现,担心邪气极盛而向内逆行,应当先使用托里法;处于内外之间的,体表没有恶寒之气,体内脏腑也宣通,知道病邪在经络,应当调和营卫;运用这三种方法,即使不能立即痊愈,也必然不会产生变证。
(出自《济生方》或相关总录类书籍,此处标注为《总录》)
治疗各种疮疡溃破后,脓液多且体内虚弱的情况(溃破后脓血流出过多,导致阴阳两竭,应当大补气血)。
药物组成:黄芪、人参、当归、桂心、茯苓、远志、麦冬、五味子(炒),各等分。每次服用五钱,饭后稍久服用。
此方是手足太阴经、足阳明经的药物组合。人参、黄芪补气固护卫气,当归、桂心活血生肌,茯苓渗湿健脾,麦冬……(原文此处似有缺漏或排版问题,结合上下文及丹溪评语推测后续内容涉及滋阴或具体药效分析,但根据“只提取原文中明确出现的实体”原则,仅翻译可见部分)。丹溪认为……(原文此处截断,仅翻译可见部分)。
(From *Taiping Huimin Heji Jufang*, which is also known as *Shixuan San* in *Waike Jingyao*)
Treats carbuncles and sores that have just begun to develop or are already developed, where the pathogenic factor is located high but the pain is low, the sore is severe while the body is emaciated and weak, and the pulse is forceless (if the carbuncle or furuncle is not caused by excessive consumption of rich food, erysipelas, fire-heat pathogen, or stomach yellow).
Ingredients: Huangqi (Astragali Radix), Renshen (Ginseng Radix et Rhizoma), Danggui (Angelicae Sinensis Radix) [2 qian], Chuanxiong (Ligustici Chuanxiong Rhizoma), Guixin (Cinnamomi Cortex), Baizhi (Angelicae Dahuricae Radix), Fangfeng (Saposhnikoviae Radix), Nongpo (Magnoliae Officinalis Cortex), Jiegeng (Platycodonis Radix), Gancao (Glycyrrhizae Radix et Rhizoma) [1 qian].
Take this amount per dose to treat back carbuncles and ding sores.
This prescription consists of herbs belonging to the Hand Taiyin, Foot Jueyin, and Yangming meridians. Renshen tonifies Qi, Chuanxiong and Danggui invigorate blood, Gancao detoxifies, Guixin, Baizhi, and Jiegeng expel pus, Nongpo drains excess fullness, and Fangfeng disperses wind pathogens. These are herbs that regulate the exterior and interior, Qi and Blood, collectively achieving the effect of assisting Yang and internal expulsion (Tuoli). Zhu Zhenheng (Danxi) stated: If used for swelling ulcers (unbroken sores) in winter, it can turn a severe condition into a mild one; if used for broken ulcers (ulcerated sores) in summer, due to the warming and dispersing nature of Guixin and Nongpo, assisted by Fangfeng and Baizhi, I fear that despite the presence of Ginseng, it may be difficult to rely on its efficacy. People who do not distinguish between winter and summer, nor consider meridian differences, will inevitably make mistakes. *Jiyao* states: Treating sores requires three methods: Tuoli (internal support/expulsion), unblocking the Zang-Fu organs, and harmonizing Ying and Wei. For pathogenic factors moving from exterior to interior, the pulse is deep and solid, accompanied by fever and irritability, without obvious redness on the surface, and pain is deep inside, indicating the pathogen has penetrated deeply; one should unblock the Zang-Fu organs to cut off the source. For pathogenic factors moving from interior to exterior, the pulse is floating and rapid, swelling is on the surface, and symptoms are externally manifest, fearing that extreme pathogenic energy may move inward; one should first use Tuoli. For conditions between interior and exterior, with no aversion to cold on the surface and smooth functioning of internal Zang-Fu organs, knowing the pathogen is in the meridians, one should harmonize Ying and Wei; employing these three methods, even if immediate cure is not achieved, there will surely be no transformation of the disease.
(From *Zonglu*)
Treats various sores after ulceration, characterized by abundant pus and internal deficiency (after ulceration, excessive loss of pus and blood leads to exhaustion of both Yin and Yang, requiring major tonification of Qi and Blood).
Ingredients: Huangqi (Astragali Radix), Renshen (Ginseng Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Guixin (Cinnamomi Cortex), Fuling (Poria), Yuanzhi (Polygalae Radix), Maidong (Ophiopogonis Tuber), Wuweizi (Schisandrae Fructus) [stir-fried], all in equal proportions. Take 5 qian per dose, administered well after meals.
This prescription consists of herbs belonging to the Hand Taiyin and Foot Yangming meridians. Renshen and Huangqi tonify Qi and consolidate the Defensive Qi (Wei Qi), Danggui and Guixin invigorate blood and generate flesh, Fuling promotes diuresis to drain dampness and strengthens the Spleen, Maidong... (The original text appears truncated here. Based on the instruction to only extract explicitly mentioned entities, the translation reflects the visible content). Danxi believed... (Original text truncated).